| NPI | 1760576359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M JOHNSON Credentialing Specialist 219-662-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-10-20 |